LESA SHIPPELHOUTE – Marriage & Family Therapist, NPI 1699345074

LESA SHIPPELHOUTE is a healthcare provider. based in Yuba city, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 124156 (CA). The NPI Number for LESA SHIPPELHOUTE is 1699345074

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LESA SHIPPELHOUTE
NPI
1699345074
Phone
(530) 751-1547
Address
3422 S WALTON AVE
Enumeration Date
29 June 2021
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5307550735
Graduation Year
2020 (6 years ago)
PAC ID
9739617366
Group Practice PAC ID
0446784326
Professional Enrollment ID
I20250110001173
Address ID
CA959914148YU438XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for LESA SHIPPELHOUTE

  • 3422 S WALTON AVE

    YUBA CITY, CA 959939240

    Phone: (530) 751-1547

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250110001173IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95993)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446784326View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Can I verify LESA SHIPPELHOUTE with an NPI only?
You can start verification with NPI 1699345074 for LESA SHIPPELHOUTE, then check state licensing separately.
Can I rely on LESA SHIPPELHOUTE being an active provider?
As of the registry snapshot, LESA SHIPPELHOUTE is marked active.
What taxonomy line describes LESA SHIPPELHOUTE?
For research purposes, treat LESA SHIPPELHOUTE as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does LESA SHIPPELHOUTE list a practice location?
Patients near Yuba City, California may find LESA SHIPPELHOUTE in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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